Servant Leadership in Sport for Development and Peace: A Way Forward

The field of sport for development and peace (SDP) has been growing exponentially, with many organizations and academics embracing the possible contribution that sport can make to development. To date, leadership in sport for development and peace has not been conceptualized. Perhaps due to the missions of sport for development and peace organizations, many of which focus on helping marginalized individuals, the leadership style needed to effectively guide a sport for development and peace organization may be different than that which is needed to lead other types of sport organizations. In this article, we advance that servant leadership, which is predicated on follower care and development, can be a highly effective leadership style in sport for development and peace. Through a series of propositions, we opine that servant leaders in sport for development and peace will empower followers, lead to more sustainable and effective organizations and participant outcomes, facilitate psychological needs satisfaction, and diffuse issues of power and control. Future research directions stimulated by the propositions are also discussed.     

Evaluating Approaches to Physical Literacy Through the Lens of Positive Youth Development

The potential of physical activity and sport programs to promote positive youth development (PYD) is well-recognized among youth sport researchers and practitioners. More recently, physical literacy has gained traction among sport organizations as an important component of long-term athlete development. With conceptual roots in academic writing, two approaches to physical literacy emerged: a holistic approach, encompassing cohesive developmental processes and outcomes; and a performance-driven approach, focused largely on physical competencies and performance. This article will evaluate the dual approaches to physical literacy through the lens of PYD. By pairing the theoretical foundation of the holistic approach with the attention to measurement in the performance-driven approach, we subsequently propose an integrated approach to physical literacy grounded firmly in sport and physical activity PYD research. Guided by this approach, we offer key insights and practical recommendations for the implementation of programs that seek to foster both physical literacy and PYD.     

PLANNING AN ELEARNING DEMENTIA CARE PROGRAM FOR HEALTHCARE TEAMS IN LONG-TERM CARE FACILITIES: THE LEARNERS’ PERSPECTIVES

This paper presents a needs analysis conducted to obtain information concerning online dementia care training of healthcare workers in long-term care (LTC) facilities. The resulting information was used to guide the development of an online dementia care training program designed to facilitate the acquisition of skills and knowledge necessary for healthcare teams to deliver better care to the residents with whom they work. Three focus groups were conducted at two sites across Canada. Data analysis revealed five major themes that will help program designers develop effective online learning programs. Recommendations for the development of an online dementia care program are proposed.     

Focus on dementia care: Continuing education preferences,challenges, and catalysts among rural home care providers

ABSTRACT

Home care staff who provide housekeeping and personal care to individuals with dementia generally have lower levels of dementia care training compared with other health care providers. The study's purposes were to determine whether the professional role of home care staff in a predominantly rural region was associated with preferences for delivery formats of dementia-specific continuing education (CE) programs, and challenges and catalysts to attending CE on any topic. From January through March, 2014, 82 of 111 eligible home care staff in one Saskatchewan health region completed a cross-sectional postal survey (73.9% response rate). The survey included 41 nurses/case managers (client care coordinators, assessors, and team managers) and 41 continuing care aides (home health aides). Nurses/case managers and aides were equally likely to report moderate to high interest in locally delivered CE and low interest in Internet-based and computer-based CE. Compared with nurses/case managers, aides were more likely to report challenges to CE attendance due to CE not being a requirement of their position or relevant to their work. Low staffing levels were the top challenge regardless of professional role. Nurses/case managers and aides were equally likely to identify locally offered programs and paid time off as the top two catalysts of CE attendance. Given the growing number of individuals with dementia receiving home care services, the current study suggests that continuing education should be offered locally and included in rural staff’s paid time in order to encourage attendance.     

Nursing Students' Intentions to Work in Dementia Care: Influence of Age,Ageism, and Perceived Barriers

Given a projected threefold increase in people living with dementia globally by 2050 (World Health Organization, 2012 World Health Organization (WHO) . ( 2012 ). Dementia: A public health priority . Retrieved from http://apps.who.int/iris/bitstream/10665/75263/1/9789241564458_eng.pdf  [Google Scholar]), attracting nurses to work in this area will be critical to meet demand. This study examined the role of age, positive ageism, negative ageism, and aged-care placement completion in predicting nursing students' intentions to work in dementia care. Perceived barriers to working in dementia care were also explored through a thematic analysis. Participants were 135 undergraduate nursing students from one regional Australian university (ages ranging from 18 to 55years) who completed an online survey. Hierarchical multiple linear regression analysis revealed that age (p = .001) and positive ageism (p < .001) were associated with greater intentions to work in aged-care. A thematic analysis of perceived barriers to working in dementia care showed five themes consisting of 11 subthemes: profession (conditions, culture, diversity, interest); personal demands (emotional, physical); patient contact (communication, safety); experience (previous, lack); and no barriers. Younger students (<25 years of age) were more likely to nominate emotional demands as potential barriers, whereas older students were more likely to cite work conditions. Patient communication and interest in other areas of nursing were identified as barriers across age groups. The findings from this study suggest that educational providers could target students with specific characteristics associated with greater work intentions in dementia care, such as age and positive ageism. Perceived barriers to working in dementia care indicate possible areas of improvement that may attract more students to this field of practice.     

Midwifery care: reflections of midwifery clients

The purpose of this study was to describe the lived experience of midwifery clients throughout the life span. A qualitative study using a phenomenological approach was employed. In-depth interviews were conducted with a purposive sample of 12 midwifery clients. The research question was: What has been your experience with midwifery care? Interviews were audio-recorded and transcribed verbatim. Data saturation was achieved and analysis procedures from Colaizzi were used. Five themes emerged from the data: 1) decision to seek midwifery care; 2) working together in a therapeutic alliance; 3) formulating a birth plan; 4) childbirth education; and 5) nurse-midwives as primary health-care providers throughout the life span. There is much to learn from listening to the voices of midwifery clients.     

Student participation in a dementia-outreach research project as community-based experiential learning

People with dementia (PWD) and their family caregivers need an increasing number of diverse health and social services. A multidisciplinary person-centered approach to dementia services is required to meet the complex needs of PWD and their family caregivers. However, educational programs struggle to prepare health and social work students to meet the complex needs of PWD and their family caregivers. This study aimed to assess the self-efficacy, competence, target complaints, and attitudes regarding interactions with PWD and their family caregivers among healthcare and social work students who participated in a large community dementia-outreach research project. A one-group pretest and posttest design was used to collect data from 23 undergraduate students studying nursing, public health, or social work. Students participated in a community dementia-outreach research project as an extracurricular activity. Quantitative and qualitative data were collected using a pre- and post-participation self-report questionnaire. Students showed increased self-efficacy and competence after project participation. Students’ perceived barriers to interacting with PWD and their family caregivers decreased. In answering open-ended questions, students showed enhanced understanding of PWD and their family caregivers, positive attitudes toward dementia care, and a career preference for dementia care. Findings provided evidence of the benefits of community-research-project participation as an experiential learning tool to enhance dementia care among health and social work students.     

Sport,Homelessness, and Capability: Voices from the Street

ABSTRACT

To what extent does soccer increase the capability of the homeless and those living on the street? This study addresses this question by focusing on the ways in which the Homeless World Cup and Street Soccer (Scotland) have impacted upon the lives of some individuals. Primary source data obtained from a series of interviews are situated within Sen’s capability approach to social choice theory. The implications of the study contribute to policy by supporting the idea that sport can contribute as a resource of hope through the development of capability that impacts upon life chances and choices. It adds to a growing number of applied studies of sport that have critically used the work of Sen and it advances the way in which this body of work has been utilized in sport and related areas.     

Play: A Paradox for Teacher and Scientist

The objective of this article is to describe the historical development of sport and exercise psychology, with a particular emphasis on the construction and evolution of the “box” through history. The box represents the dominant paradigm that serves as the model for research and application as it evolves through successive historical eras (Kuhn, 1962). Seven historical eras related to the development of sport and exercise psychology are discussed. Of particular interest for this review were individuals whose curiosity and motivation established the roots for the study of sport and exercise psychology, as well as the controversies and tensions in both kinesiology and psychology that shaped the fi eld. Suggestions for the future include a problem-based approach to scholarship and a cultural praxis version of sport and exercise psychology to enhance relevancy and social impact.     

Development of “down the road”: An interactive toolkit about driving cessation for dementia caregivers

Concerns about safe driving practices in individuals with dementia often fall to caregivers, who are frequently faced with the difficult task of initiating the conversation about driving and driving cessation with their loved ones. This is a topic that can be a very emotional and sensitive for older adults. Several print-based resources are currently available to caregivers; however, emerging research suggests that disseminating information through applied theater, a genre of theater typically based on research that addresses a social issue, may be more effective in changing attitudes than these traditional print-based methods. Applied theater touches upon the emotional complexities involved in decision-making about driving, deepening a viewer’s experience with the content. This work used research obtained from focus groups and individual interviews with 17 (eight informal and nine formal) dementia caregivers as a foundation for the development of a toolkit called Down the Road, which consists of an applied theater production about driving safety called No Particular Place to Go (in DVD-format), an accompanying viewer guidebook, and supplemental information cards. The content of Down the Road centers around eight main themes identified by dementia caregivers, including (1) the importance of driving, (2) the assessment process, (3) information about refresher courses and driving schools, (4) risk factors and warning signs, (5) starting the conversation, (6) dealing with resistance, (7) the need for support, and (8) alternative transportation options. Down the Road incorporates the expressed needs of dementia caregivers to translate knowledge into an effective, research-based toolkit that can provide caregivers with an interactive resource for use individually or in facilitated groups.     

Evaluating anticipatory grief as a moderator of life and marital satisfaction for spousal caregivers of individuals with dementia

It is important to understand the role that anticipatory grief may have in moderating the interaction between relationship quality and marital and life satisfaction to help improve the awareness among professionals when identifying challenges individuals may experience while providing care to their romantic partner. This awareness may then lead to new ways of providing education or intervention to caregivers that may result in higher quality of care to individuals with dementia. The purpose of this study was to provide increasing awareness by evaluating the moderating role of anticipatory grief between perceptions of the relationship and marriage and life satisfaction. The sample of this study consisted of 90 spousal caregivers of individuals with dementia. Multiple regression was used and it was found that attachment and perceived closeness significantly predict satisfaction with life and marriage. Tests of moderation did not demonstrate that anticipatory grief served as a moderator for marital satisfaction or life satisfaction. The findings from the study provide information related to informing and structuring interventions and psychoeducation activities for spousal caregivers.     

Peer Teachers With Autism Teaching 3D Modeling

ABSTRACT

Few autism programmes address the needs of adolescents and young adults, and those that do are unlikely to include individuals with autism in the design and evaluation of the programme. This study involved nine youth with autism (ages 16–25) in the development and evaluation of a peer teaching programme where they taught three-dimensional modelling to other students with autism spectrum disorder. The methodology was participant-oriented research where the students with autism were co-designers and programme evaluators in the research. This approach highlighted their unique strengths and abilities and shifted the power such that they were leaders and not simply the recipients of knowledge from instructors. Four themes emerged through the qualitative analysis of the students’ perceptions of the peer teaching programme: 1) the meaning of peer teaching, 2) motivations for peer teaching, 3) challenges and 4) coping with the challenges of the role.     

School-based bullying experiences as reflected by adults with visual impairments

The purpose of this study was to describe the reflections of adults with visual impairments regarding bullying experiences during their school-based education. An interpretative phenomenological analysis research approach was used and 11 participants (aged 20–35 years; seven women, four men) participated in this study. The sources of data were semi-structured audiotaped telephone interviews and reflective field notes. Thematic development was undertaken utilizing a three-step analytical process guided by the research approach. Based on the data analysis, three interrelated themes were constructed: (a) “It would be when they knew there weren't teachers watching”: bullying experiences in unowned and unstructured spaces; (b) “Going through the motions”: feelings about verbal, social, and physical victimization; and (c) “They had their own insecurities”: understanding the bullies and bystanders. The emerged themes provide a unique insight into the way in which those with visual impairments experienced bullying in schools and the meaning they ascribed to those experiences.     

Empowering Staff in Dementia Long-Term Care: Towards a More Supportive Approach to Interventions

This pilot-study aimed to assess a psychoeducational program for staff in care homes. The program was designed to increase knowledge regarding dementia care, promote skills to integrate motor and multisensory stimulation in daily care, and develop coping strategies to manage emotional work-related demands. Six staff members received eight psychoeducational sessions held fortnightly and individualized assistance during the provision of morning care to six residents with dementia. An audio-recorded focus group interview with staff and video recordings of residents' behavior during morning care were made and used to assess the program. Staff reported several benefits: acquisition of new knowledge; demystification of preexisting beliefs related to dementia; group cohesion; self-worth feelings; and positive coping. A trend towards improvements at residents' levels of interaction was found. The findings suggest the need of interventions to go beyond the objectives exclusively centered on staff education and the promotion of residents' well-being. This should be achieved by also allowing workers to feel supported and empowered.     

Positive Perspectives on the Profession: Reframing through Appreciative Inquiry

Change theories and Organization Development strategies have long followed the problem-solving approach of looking at organizations, identifying the weaknesses and introducing interventions to “stop doing the wrong things.” In its simplest form, this approach has been successful in a variety of situations and has a popular following. Consultants or internal reviewers look for the problems, identify the cause of the problem, and introduce the intervention (new rule) to eliminate the opportunity for the repetition of the “problem.” Problem-solving is a popular perspective through which change is initiated in politics, academia, and in social media. Eliminate the “bad” and pay attention to what we have been doing wrong to improve. This article first reviews the problems posed in past Hanna lectures to some major themes: (a) the need to address societal concerns, (b) the need to reduce sub-disciplinary fragmentation, (c) the problems inherent on university campuses as a result of politics and the economy, (d) the need to re-examine the over-reliance on the scientific research paradigm at the cost of phenomenological understandings, and (e) the framing of problems to be solved by professionals in our field. The introduction of Appreciative Inquiry and is then provided as an alternative approach to examine current contextual setting with the primary emphasis away from “What problems are you having?” and toward “What is working around here?”. This alternative suggests that in all organizations there is some positive force that is moving the organization forward, and the identification of that force (what works) can lay the ground work for doing more of “what works.” Finally, three examples of Appreciative Inquiry opportunities in action from our discipline are offered for consideration.     

Linking teaching and research in an undergraduate course and exploring student learning experiences

ABSTRACT

In this case study, we first describe how teaching and research are linked in a master’s course on tissue engineering. A central component of the course is an authentic research project that the students carry out in smaller groups and in collaboration with faculty. We then explore how the students experience learning in this kind of discovery-oriented environment. Data were collected through a survey, reflective writing, and interviews. Using a general inductive approach for qualitative analysis, we identified three themes related to the students’ learning experiences: learning to navigate the field, learning to do real research, and learning to work with others. Overall, the students strongly valued learning in a discovery-oriented environment and three aspects of the course contributed to much of its success: taking a holistic approach to linking teaching and research, engaging students in the whole inquiry process, and situating authentic problems in an authentic physical and social context.     

Positive Aspects of Family Caregiving of Dependent Elderly

Previous research recently revealed the presence of positive aspects in caregiving. This study had a double objective: first, to identify positive aspects of family caregiving; second, to analyze the relationship between these caregiving rewards and different variables. A total of 140 family caregivers of dependent elderly participated in the study. Out of these, 79 of the elderly suffered dementia and 63 were institutionalized. Caregivers’ satisfaction and quality of life was above average. Those caregivers who perceived a good quality of relationship with their elder presented more satisfaction than the others. Problems in quality of life showed a positive relationship with the level of dependence of the elder. On the other hand, the more level of dependence of the elder, the greater the level of satisfaction of the caregiver. Those caregivers with a good relationship showed less provisional meaning than those with a normal or a bad relationship. We confirm the relevance of the caregiver-elder relationship, which can be improved and modified through specific preventive interventions. Our findings indicate that interventions for caregivers of people with dementia should explore ways to find meaning in caregiving.     

Knowledge of Alzheimer's Disease Among Norwegian Undergraduate Health and Social Care Students: A Survey Study

With an aging general population and a concurrent increase in the prevalence of dementia, health and social care professional students are increasingly exposed to this group of patients during their clinical placements and after graduation. A sound dementia-related knowledge base among health and social care students is important in providing high-quality dementia care. The present study assessed dementia-related knowledge in health and social care students. The Alzheimer's Disease Knowledge Scale (ADKS) was utilized to measure the level of dementia knowledge. A total of 321 undergraduate students from various disciplines in their final years of study, but prior to graduation, participated in this study. The study identified a moderate dementia knowledge base (mean score: 23.51 out of 30) among health and social care students. The results revealed that the students were also ignorant of many facts and had many misconceptions pertaining to Alzheimer's Disease (AD). In addition, significant differences in knowledge were evident between student groups. These results suggest that the current dementia curriculum should be evaluated in an attempt to improve the dementia knowledge base of health and social care students.